新生児期手術が行われた先天性胆道閉鎖症例の検討

概要

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5 patients with congenital biliary atresia (type I : two cases, type III : three cases) were operated on by hepatoporto-enterostomy during the neonatal period. Both type I cases were detected by antenatal ultrasonographic examination. Jaundice cleared (total bilirubin lnE 1.0mg) in all the patients, but recurrence of jaundice and fever occured in one case at age eight. Two cases of type III suffered from portal hypertension. Histological findings from liver specimens, did not indicate ongoing fibrosis in three of five cases. These data suggest that operation for patients with CBA during the neonatal period is effective, but that long-term followup of postoperative status is required.
1992-12-20